{"id":2066,"date":"2015-11-09T10:02:10","date_gmt":"2015-11-09T08:02:10","guid":{"rendered":"http:\/\/www.loodus.net\/?p=2066"},"modified":"2021-02-01T14:37:57","modified_gmt":"2021-02-01T12:37:57","slug":"tsoliaakiat-saab-ravida-ainult-range-dieediga","status":"publish","type":"post","link":"https:\/\/biospa.ee\/vanaveeb2026\/tsoliaakiat-saab-ravida-ainult-range-dieediga\/","title":{"rendered":"Ts\u00f6liaakiat saab ravida ainult range dieediga"},"content":{"rendered":"

Kui ts\u00f6liaakia n\u00e4hud on tagasihoidlikud, v\u00f5ib juhtuda, et inimene p\u00f5eb seda aastaid v\u00f5i isegi aastak\u00fcmneid, enne kui saab \u00f5ige diagnoosi.<\/strong><\/p>\n

\"\"\u201eGluteenitalumatuse all m\u00f5eldakse erinevaid haigusi,\u201d selgitab Eesti Ts\u00f6liaakia Seltsi juhatuse esimees Aive Antson. \u201eTs\u00f6liaakia on krooniline peensoolehaigus, mille korral kahjustub peensoole limaskest. Selle diagnoosimise aluseks on peensoole biopsia. Ainsaks raviks on eluaegne range dieet: keelatud on nisu, rukist, otra ja kaera sisaldavad toidud. \u00d5ige toitumise tulemusena taastub peensoole limaskest. Ts\u00f6liaakiat ei tohi segi ajada nisuallergiaga, mille korral peensoole kahjustust ei teki. Kui aga vaevused kestavad ja v\u00e4listatud on nii allergia kui ka ts\u00f6liaakia, v\u00f5ib tegu olla mitte-ts\u00f6liaakia gluteenitundlikkusega, kuid selle korral samuti peensoole kahjustust ei teki.\u201d<\/p>\n

Teadlikkus suureneb<\/strong><\/p>\n

Ts\u00f6liaakiahaigete t\u00e4pset arvu on Antsoni s\u00f5nul keeruline \u00f6elda, kuna haigekassa neid ei loenda. \u201eEesti Ts\u00f6liaakia Seltsi kuulub praegu 60 ts\u00f6liaakiahaiget. Seltsi juhatuse esimehena olen suhelnud umbes 150 ts\u00f6liaakiahaigega, kuid neid on kindlasti kordi rohkem,\u201d hindab ta. Ts\u00f6liaakiat peetakse \u00fcheks sagedasemaks krooniliseks haiguseks. Euroopas, Ameerikas ja Austraalias esineb see 0,5\u20132 protsendil, Rootsis isegi 3 protsendil elanikest. Eestis on ts\u00f6liaakia arstide s\u00f5nul aladiagnoositud haigus.<\/p>\n

\u201eTs\u00f6liaakiaga seotud s\u00fcmptomid on erinevad ja v\u00e4ga individuaalsed,\u201d t\u00f5deb Antson. \u201eT\u00fc\u00fcpilisteks n\u00e4htudeks on krooniline k\u00f5hulahtisus ja k\u00f5hnumine, aga ka k\u00f5huvalu, k\u00f5hupuhitus, aneemia ja v\u00e4simus. Sageli otsivad inimesed arstilt abi muude probleemide t\u00f5ttu, n\u00e4iteks j\u00e4\u00e4vhammaste vaabakahjustus, k\u00e4itumish\u00e4ired, depressioon, ravile halvasti alluv v\u00f5i allumatu rauavaegusaneemia, osteoporoos, neuroloogilised h\u00e4ired, puberteedi hilinemine, kasvupeetus lastel, g\u00fcnekoloogilised probleemid (viljatus, korduvad abordid, varane menopaus jt). On olemas ka at\u00fc\u00fcpiline ts\u00f6liaakia, mille korral haigusn\u00e4hud on tagasihoidlikud v\u00f5i puuduvad hoopis. Nii v\u00f5ibki juhtuda, et inimene p\u00f5eb ts\u00f6liaakiat aastaid v\u00f5i isegi aastak\u00fcmneid, enne kui saab \u00f5ige diagnoosi. \u00d5nneks on arstide teadlikkus sellest Eestis veel harva esinevast haigusest aasta-aastalt suurenenud ning haigete arvu kasvu n\u00e4itab ka seltsi poole p\u00f6\u00f6rduvate inimeste arvu kasv.\u201d<\/p>\n

Toidupoes v\u00f5ib kuluda tunde<\/strong><\/p>\n

Ts\u00f6liaakiahaiged peavad gluteenivaba toitu valides hoolikalt pakendilt koostisosi uurima. Keelatud teravilju v\u00f5ivad sisaldada vorstid, kastmed, purgisupid, valmistoidud kuumaletis jne. Nii v\u00f5ib ts\u00f6liaakiahaigel alguses poes kuluda tunde, et v\u00e4lja selgitada, milliseid toiduaineid ta v\u00f5ib s\u00fc\u00fca ja milliseid mitte. \u201c\u00d5nneks on Eestis gluteenivabade toodete valik aastatega laienenud ja tootjad arvestavad \u00fcha enam erinevate toitumisvajadustega inimeste soovidega,\u201d kiidab ts\u00f6liaakia seltsi esimees.<\/p>\n

\u201eKui tootja m\u00e4rgib tootele \u201eei sisalda gluteeni\u201d, siis lisaks gluteenivabadele toorainetele peab see toode olema ka \u201epuhtalt\u201d toodetud \u2013 gluteeni sisaldavad ja gluteenivabad koostisained ei tohi olla v\u00e4himalgi m\u00e4\u00e4ral kokku puutunud. N\u00e4iteks ei tohi samal ajal samas ruumis valmistada gluteeni sisaldavat ja gluteenivaba toitu, sest ka nisujahutolm on ts\u00f6liaakiahaigele ohtlik. Seega peavad k\u00f5ik tootjad suhtuma tootmisse v\u00e4ga kohusetundlikult, kui m\u00e4rgivad tootele \u201eei sisalda gluteeni\u201d. Samuti peavad gluteenivabu tooteid kohusetundlikult k\u00e4sitlema kaubandusettev\u00f5tted. Eriti t\u00e4helepanelik tuleb olla pakendamata toodetega. Gluteeni sisaldavad koogid ei tohi olla \u00fchel kandikul tavakookidega, samuti ei tohi neid t\u00f5sta sama tordilabidaga ega pakendada kokku gluteeni sisaldavaid ja gluteenivabu tooteid,\u201d selgitab Antson.<\/p>\n

Euroopas saavad toiduainetootjad taotleda oma gluteenivabadele toodetele m\u00e4rgist, millega kinnitatakse, et tootmine on toimunud gluteenivabalt. Kevadel peetud \u00fcmarlaual tutvustasid Eesti Ts\u00f6liaakia Seltsi liikmed Eesti toiduainete tootjatele m\u00e4rgise ideed ja selle saamise v\u00f5imalusi ning loodavad, et ka siinsed toiduainete tootjad on valmis selle saamise nimel panustama.<\/p>\n

Kuidas ts\u00f6liaakiat diagnoositakse?<\/strong><\/p>\n

Kui tekivad kahtlused, kas tegu v\u00f5ib olla ts\u00f6liaakiaga, tuleb k\u00f5igepealt p\u00f6\u00f6rduda perearsti poole, kes teeb esmased vereanal\u00fc\u00fcsid. Vajadusel suunatakse patsient edasi gastroenteroloogi juurde. \u201eOluline on meeles pidada, et enne ts\u00f6liaakia korrektset diagnoosimist ei tohi pidada gluteenivaba dieeti. Vastasel korral peensool taastub ja hilisemate uuringutega pole v\u00f5imalik tuvastada, kas p\u00f5etakse ts\u00f6liaakiat v\u00f5i mitte. Seltsi t\u00f6\u00f6s oleme sageli kuulnud, et inimesed katsetavad gluteenivaba men\u00fc\u00fcd. Tavaliselt ei tehta seda korrektselt ning ei peeta arstidega n\u00f5u. Nii j\u00e4\u00e4b aga \u00f5ige diagnoos saamata ning terviseh\u00e4dad v\u00f5ivad kesta aastaid, isegi aastak\u00fcmneid,” m\u00e4rgib Eesti Ts\u00f6liaakia Seltsi juhatuse esimees Aive Antson.
\nTs\u00f6liaakia on t\u00f5sine diagnoos, mille paneb arst p\u00e4rast vastavate uuringute tegemist, r\u00f5hutab ka Tartu \u00fclikooli kliinikumi dieediarst Liidia Kiisk. \u201eRaviasutuses on tarvis teha vastav test. Veeniverest m\u00e4\u00e4ratakse koe transglutaminaasi antikehad. Positiivse tulemuse korral tuleb teha ka peensoole biopsia. Alles siis, kui ts\u00f6liaakia diagnoos on leidnud kinnitust, pakutakse toitumisalast n\u00f5ustamist ja m\u00e4\u00e4ratakse gluteenivaba dieet,” kinnitab dieediarst.<\/p>\n

Allikas: \u00d5htuleht<\/a><\/p>\n<\/div>

<\/div><\/div><\/div><\/div><\/div>\n","protected":false},"excerpt":{"rendered":"

Kui ts\u00f6liaakia n\u00e4hud on tagasihoidlikud, v\u00f5ib juhtuda, et inimene p\u00f5eb seda aastaid v\u00f5i isegi aastak\u00fcmneid, enne kui saab \u00f5ige diagnoosi. \u201eGluteenitalumatuse all m\u00f5eldakse erinevaid haigusi,\u201d selgitab Eesti Ts\u00f6liaakia Seltsi juhatuse […]<\/p>\n","protected":false},"author":1,"featured_media":7390,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[15,67,89],"tags":[4,10,21],"class_list":["post-2066","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-toidutalumatus","category-dieet","category-keha-ja-tervis","tag-dieet","tag-toidutalumatus","tag-gluteenitalumatus"],"yoast_head":"\nTs\u00f6liaakiat saab ravida ainult range dieediga - Loodus BioSpa<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/biospa.ee\/vanaveeb2026\/tsoliaakiat-saab-ravida-ainult-range-dieediga\/\" \/>\n<meta property=\"og:locale\" content=\"et_EE\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Ts\u00f6liaakiat saab ravida ainult range dieediga - 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